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HomeMy WebLinkAboutSTERLING INFOSYSTEMS - INSURANCE CERTIFICATE (2)Client#: 1058256 STERLINF2 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 10/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: USI Insurance Services LLC PHONE aC No Ext : A/c No): 610 537-4537 333 Westchester Ave, Suite 102 E-MAIL ESS: Kim.ryder@usi.biz White Plains, NY 10604 914 459-6200 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Fire Insurance Co 19682 INSURED INSURER B : Hartford Casualty Insurance Com 29424 Sterling Infosystems, Inc. INSURER c: Allied World Assurance (US) Inc 19489 1 State Street Plaza, 24th Floor INSURER D : Hiscox Lloyd's Synd 99999 New York, NY 10004 INSURERE: Federal Insurance Company 20281 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ND RL S �BR POLICY NUMBER MI VVDDNYYFY A M/DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR 16UUNBI2722 0/12/2015 10/12/2016 EACHOCCURRENCE $1 00O 000 TRWRI oacu�rtence $1 00O 000 MED EXP (Any one person) _ $1 O 000 PERSONAL & ADV INJURY $1,000 000 AGGREGATE LIMIT APPLIES PER: PRO - POLICY ❑ JECTT DLOC GENERAL AGGREGATE s2,000,000 GEN'L PRODUCTS - COMP/OP AGG $2 000 000 $ OTHER: A AUTOMOBILE LIABILITY 16UUNBI2722 0/12/2015 10/12/201 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB IV OCCUR 16XHUB11936 0/12/2015 10/12/2016 EACH OCCURRENCE $15 000 000 EXCESS LIAB CLAIMS -MADE AGGREGATE $15 00O 000 DED I X RETENTION $1 O 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y / N N / A 16WEPI3210 0/12/2015 10/12/201 PER X OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 0/12/2015 10/12/2016 E.L. DISEASE - POLICY LIMIT $1 000 000 $5,000,000 Aggregate C Cyber Liability 03092459 D E&O/Professional B1230FCO2071A15 0/12/2015 10/12/2016 $10,000,000 Aggregate E Crime 82242334 10/12/2015 10/12/2016 $1,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Named Insured Continued: Sterling Infosystems Holdings Inc. Sterling Credit Screening Inc. Sterling Protective Systems Inc. Data -Quick Direct Inc. (See Attached Descriptions) ,_rrs t_irit A I r nvLutrt GANGELLATION City of Fort Collins 300 Laporte Avenue Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) 1 of 2 #S16472066/M16471404 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BVSZP DESCRIPTIONS (Continued from Page 1) Bishops Services Inc. ABSO Unisource Screening & Information Services Inc. American Background Information Services Inc. Screening International LLC The Premier Company DBA Tandem Select Sterling Infosystems- Ohio, Inc. HR Plus Verified Volunteers Checkwell Decision Corporation (US) Sterling Intermediate Corp. Sterling Midco Holding Inc. Sterling Ultimate Parent Corp. Other Liability Information: Cyber Liability Policy #03092459 $100,000 Retention: Privacy, Network Security or Media Wrongful Acts $1,000,000 Retention: Breach Response Services E&O/Professional Liability Policy #131230FCO2071A15 $250,000 Deductible Each Claim $1,000,000 Deductible Class Action Suits Crime Policy #82242334 $25,000 Deductible Certificate holder is included as additional insured. JHUI I I Z,.3 (ZV 14/Vl) Z OT Z #S16472066/M16471404